Posts by Gregory R. Waryasz, MD
Weight-bearing X-Ray Needed for Diagnosis of Subtle Lisfranc Injury
Christopher W. DiGiovanni, MD, and colleagues from the Foot and Ankle Research and Innovation Lab at Mass General found that, for patients with surgically confirmed Lisfranc instability, weight-bearing (WB) radiographs revealed significantly larger diastasis in the tarsometatarsal joint than non-WB radiographs.
Sagittal Plane Fibular Motion More Accurate Than Coronal Plane Measurements for Detecting Syndesmotic Instability
Foot and ankle surgeons at Massachusetts General Hospital determined that, during the arthroscopic evaluation of the distal tibiofibular articulation, sagittal plane fibular translation is more accurate for diagnosing syndesmotic instability than coronal plane diastasis.
New Measurement Proposed for Detecting Syndesmotic Instability in 3D
Orthopedic surgeons at Massachusetts General Hospital have developed a clinically applicable, three-dimensional method of assessing syndesmotic (high ankle) instability on weight-bearing CT (WBCT) scans that measures "percentage of change," which is easier than using a numeric scale with an absolute value.
Updated Threshold Values Needed for Arthroscopic Diagnosis of Syndesmotic Instability
Based on a systematic review, researchers in Massachusetts General Hospital's Foot and Ankle Research and Innovation Lab believe the commonly used threshold of 2.0 mm for distal tibiofibular diastasis may lead to overdiagnosis of syndesmotic instability during arthroscopy, and they suggest more evidence-based cutoffs.
Ultrasound Has Potential to Diagnose Subtle Syndesmotic Instability
Members of the Massachusetts General Hospital Foot and Ankle Research and Innovation Laboratory have become the first to demonstrate ultrasound's abilities to evaluate the tibiofibular joint under stressed conditions and show in each individual what normal syndesmotic motion should be.
Open Intermetatarsal Ligament Release Advocated as First Surgical Treatment of Morton's Neuroma
Massachusetts General Hospital researchers observed promising short-term results when recalcitrant Morton's neuroma was treated with simple nerve decompression, without neuroma excision.
Understanding Injury Risk of High-Intensity Interval Training (HIIT) to Globalize Its Benefits
As high-intensity interval training (HIIT) grows in popularity as an exercise method, researchers at Massachusetts General Hospital are studying the risk of injury, finding that proper coaching and body alignment are crucial to HIIT success.
Navicular Fracture Increases Risk of Osteoarthritis in Elite Football Players
Massachusetts General Hospital physicians are participating in research on factors that predict performance in the NFL. Most recently, they examined how a history of navicular fracture affects the draft status and career durability of elite football players.
Dr. Gregory R. Waryasz, MD, CSCS, is a fellowship trained orthopaedic surgeon. He specializes in injuries and conditions of the foot and ankle.
Dr. Waryasz received his BS in Biology at Boston College, where he apprenticed as a strength and conditioning coach for all the athletic teams. He attended medical school at Tufts University and completed residency in orthopaedic surgery at the Brown University/Rhode Island Hospital program. After his residency, Dr. Waryasz completed three fellowships. The first in Orthopaedic Trauma at Brown, where he cared for adult and pediatric fractures. While at Brown, Dr. Waryasz was a team physician providing sideline coverage with Brown Athletics, the Providence Bruins of the AHL and USA Gymnastics.
After leaving Brown, Dr. Waryasz completed two more fellowships, both at Mass General - one in Sports Medicine and one in Foot and Ankle. During these fellowships, Dr. Waryasz was part of the medical staff for the Patriots, Red Sox, Bruins and New England Revolution, and he currently is working on the medical staff for the New England Revolution.
Dr. Waryasz has been a personal trainer for more than 15 years and enjoys consulting with recreational, collegiate and professional athletes. He is a certified strength and conditioning specialist through the National Strength and Conditioning Association.
Dr. Waryasz is an active researcher with more than 40 peer reviewed publications. He is a current reviewer for many orthopaedic journals, including American Journal of Sports Medicine, Strength and Conditioning Journal, and the Journal of Physical Activity and Health. His clinical interests are foot and ankle sports medicine conditions, fracture care and foot and ankle reconstruction surgery. He has a specific clinical interest in injuries related to bodybuilding, Olympic weightlifting and high intensity training (HIIT, HIPT, CrossFit, etc). In his spare time he enjoys cooking, exercising and spending time with his family.